Dr. Charles Barnett Burch Jr., DMD
Dentist, General Practice in Athens, GA. Individual provider (NPI-1).
NPI number1942308705
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1942308705
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Barnett Burch Jr.
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8977 | GA | Yes |
Practice location
175 Hawthorne ParkAthens, GA 30606
Phone 706-353-7860 · Fax 706-354-1913
Mailing address
175 Hawthorne ParkAthens, GA 30606
Phone 706-353-7860 · Fax 706-354-1913
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